摘要
目的 探讨特殊部位异位妊娠的临床特点与腹腔镜手术治疗的可行性与安全性。方法 回顾分析1998年1月至2003年1月间经腹腔镜手术治疗的特殊部位异位妊娠的临床资料,包括输卵管间质部妊娠4例,卵巢妊娠4例,腹腔妊娠3例。结果 11例特殊部位异位妊娠的临床特点:平均停经时间以卵巢妊娠较短,而间质部妊娠时间较长;血β-HCG值以卵巢妊娠和腹腔妊娠较低,而间质部妊娠较高;腹腔镜手术治疗特殊部位异位妊娠效果:平均手术时间为(45.0±13.8)min,平均术中失血为(81.0±80.6)mL,平均住院时间为(3.0±0.6)d,腹腔镜手术成功率为91％。结论 腹腔镜手术治疗特殊部位异位妊娠是可行且安全的,但是应根据其特点选择术式并预防并发症。
Objective To investigate the clinical characteristics,feasiability and safety of laparascopic surgery in patients with rare ectopic pregnancy. Methods Eleven patients with rare ectopic pregnancy,including 4 interstitial pregnancy,4 ovarian pregnancy and 3 abdominal pregnancy,underwent laparoscopic operation in our hospital during January 1998 to January 2003. The clinical data of these patients was analyzed retrospectively. Results Clinical characteristics were:the mean duration of amenorrhea was longer in interstitial pregnancy than in ovarian pregnancy;the mean serum fi-HCG val-ue was lower in ovarian or abdominal pregnancy than in interstitial pregnancy. The effects of laparoscopic surgery were: the mean operation time was (45.0 ± 13.8).min;the mean blood loss during operation was (81.0±80.6)mL;the mean hospital stay was (3.0±0.6)days;the success rate of laparoscopic surgery was 91 % . Conclusion Laparoscopic operation is feasible and safe for rare ectopic pregnancy. But procedures should be based on the characteristics and complica-tions be prevented.
出处
《中国实用妇科与产科杂志》
CAS
CSCD
北大核心
2003年第10期615-616,共2页
Chinese Journal of Practical Gynecology and Obstetrics
